Determinants of Neonatal and Post-neonatal Mortality in Pakistan

Ensuring the survival and well being of children is a concern of families, communities and nations throughout the world. Since the turn of the 20th century infant and child mortality in more developed countries has steadily declined and, currently, has been reduced to almost minimal levels. In contrast, although infant and child mortality has declined in the past three decades in most less developed countries, the pace of change and the magnitude of improvement vary considerably from one country to another. The inverse relationship between socio-economic variables of the parents and infant and child mortality is well established by several studies [Muhuri (1995); Forste (1994); Hobcraft, et al. (1984); Caldwell (1979); Sathar (1985, 1987)] and it holds true irrespective of the overall level of mortality in the national populations [Ruzicka (1989)]. The influence of parental education on infant and child health and mortality has proved to be universally significant [Bicego and Boerma (1993); Caldwell, et al. (1990)]. The father’s education, mother’s education and their work status each have independent effects upon child survival in developing countries [Sandiford, et al. (1995); Forste (1994); Caldwell, et al. (1983)]. Economic conditions of the household also help in explaining the variation in infant and child mortality. The nature of housing, diet, access to and availability of water and sanitary conditions as well as medical attention all depend on the economic conditions of the household. For example, poor families may reside in crowded, unhygienic housing and, thus, suffer from infectious disease associated with inadequate and contaminated water supplies and with poor sanitation [Esrey and Habicht (1986)]. Maternal factors, which are biological attributes of birth, such as the age of mother at the time of childbirth, birth order and birth interval [Forste (1994); Rutstein (1984)], have significant effects on child survival.

Improving maternal and neonatal health: Measuring the impact of the PAIMAN project in ten districts in Pakistan—Comparing baseline and end-line household survey findings (2005-2010)

The Pakistan Initiative for Mothers and Newborns (PAIMAN) project was implemented by a consortium including the Population Council to assist the Government of Pakistan to improve the status of maternal and newborn health in 10 districts. PAIMAN strategized specific interventions designed to improve awareness and promote positive maternal and neonatal health behaviors; to increase access to maternal and child health services; to improve service quality in the public and private sectors to manage obstetric and neonatal complications; to increase the capacity of healthcare system managers and providers in maternal and neonatal health; and to improve management and integration of services at all levels. This endline report concludes that PAIMAN had a positive impact on overall maternal and neonatal health indicators. Two of the most notable changes are improvements in skilled birth assistance and declines in neonatal and perinatal mortality. The challenge now is to scale up those interventions that had the greatest impact on maternal and neonatal indicators, and to create the sustainable framework that will allow women and newborns across the country to reap the benefit of the PAIMAN project’s successes

Microencapsulation strategies for islet transplantation

A variety of islet microencapsulation techniques have been investigated to establish which method provides the least occlusive barrier to net insulin release in vitro, and optimum biocompatibility for islet implantation in vivo. NMRI mouse islets have been microencapsulated with Na+ -alginate-poly-L-lysine (PLL)/poly-L-ornithine (PLO)-alginate, Ba2+ -alginate and agarose gels. Both free and microencapsulated islets responded to glucose challenge in static incubation and perifusion by significantly increasing their rate of insulin release and theophylline significantly potentiated the insulin response to glucose. While little insulin was released from microencapsulated islets after short term (2 hours) static incubation, significantly greater amounts were released in response to glucose challenge after extended (8-24 hours) incubation. However, insulin release from all types of microencapsulated islets was significantly reduced compared with free islets. Na+ -alginate-PLO-alginate microencapsulated islets were significantly more responsive to elevated glucose than Na+ -alginate-PLL-alginate microencapsulated islets, due to the enhanced porosity of PLO membranes. The outer alginate layer created a significant barrier to glucose/insulin exchange and reduced the insulin responsiveness of microencapsulated islets to glucose. Ba2+ -alginate membrane coated islets, generated by the density gradient method, were the most responsive to glucose challenge. Low concentrations of NG-monomethyl L-arginine (L-NMMA) had no significant effect on glucose stimulated insulin release from either free or microencapsulated islets. However, 1.0 mmol/1 L-NMMA significantly inhibited the insulin response of both free and microencapsulated islets to glucose challenge. In vivo work designed to evaluate the extent of pericapsular fibrosis after 28 days ip. and sc. implantation of microencapsulated islets into STZ-diabetic recipients, revealed that the inclusion of islets within microcapsules increased their immunogenicity and markedly increased the extent of pericapsular fibrosis. When the outer alginate layer was omitted from microcapsules, little or no pericapsular mononuclear cell deposition was observed. The subcutaneous site was not suitable for microencapsulated islet transplantation in NMRI recipient mice. Systemic immunosuppression using cyclosporin A was effective in preventing pericapsular mononuclear cell deposition, while L-NMMA loading into microcapsules had no significant effect on pericapsular fibrosis, although it did maintain the integrity of microencapsulated islets

Determinants of Growth Retardation in Pakistani Children under Five Years of Age

Ensuring the survival and well being of children is a concern of families, communities, and nations throughout the world. Since the turn of the 20th century infant and child mortality in more developed countries has steadily declined and, currently, has been reduced to almost minimal levels. In contrast, although infant and child mortality has declined in the past three decades in most less developed countries, the pace of change and the magnitude of improvement vary considerably from one country to another. Children are at risk of both mortality and morbidity. The problem of malnutrition is widespread in developing countries and particularly severe in South Asian countries, where almost fifty percent of the undernourished children of the world live [Carlson and Wardlaw (1990)]. Rural populations are especially prone to malnutrition because they are more likely to be poor [Tinger (1998)]. The analysis of Demographic and Health Surveys (DHS) in 19 developing countries shows that children living in rural areas are more likely to be malnourished [Sommerfelt and Stewart (1994)]

Determinants of Neonatal and Post-neonatal Mortality in Pakistan

Ensuring the survival and well being of children is a concern of families, communities and nations throughout the world. Since the turn of the 20th century infant and child mortality in more developed countries has steadily declined and, currently, has been reduced to almost minimal levels. In contrast, although infant and child mortality has declined in the past three decades in most less developed countries, the pace of change and the magnitude of improvement vary considerably from one country to another. The inverse relationship between socio-economic variables of the parents and infant and child mortality is well established by several studies [Muhuri (1995); Forste (1994); Hobcraft, et al. (1984); Caldwell (1979); Sathar (1985, 1987)] and it holds true irrespective of the overall level of mortality in the national populations [Ruzicka (1989)]. The influence of parental education on infant and child health and mortality has proved to be universally significant [Bicego and Boerma (1993); Caldwell, et al. (1990)]. The father’s education, mother’s education and their work status each have independent effects upon child survival in developing countries [Sandiford, et al. (1995); Forste (1994); Caldwell, et al. (1983)]. Economic conditions of the household also help in explaining the variation in infant and child mortality. The nature of housing, diet, access to and availability of water and sanitary conditions as well as medical attention all depend on the economic conditions of the household. For example, poor families may reside in crowded, unhygienic housing and, thus, suffer from infectious disease associated with inadequate and contaminated water supplies and with poor sanitation [Esrey and Habicht (1986)]

SARGUZASHT

Mirza Aziz Faizani Darapuri was a relatively lesser-known but prolific poet and writer of the Twentieth century. He has written admirable poetry in Persian, Urdu and Punjabi Languages. His poetry and articles were published in the leading newspapers and literary journals of his time. He lived a short but meaningful life and through his poetry and writings taught the Muslim Ummah a united and practical life. He was truly the heir and follower of poets like Maulana Hali, Akbar Allah Abadi, Allama Iqbal and Zafar Ali Khan etc. He wrote many books in poetry and prose. A few books were published in his lifetime but many books are still unpublished. His autobiography: Sarguzasht is also included in these unpublished books. His autobiography despite being short is a true reflection of all the important events and circumstances of his life. This autobiography is an important addition to the biographical literature of Urdu in terms of the authenticity of its text, simplicity of expression and charm of language. This article provides a detailed introduction to Mirza Aziz Faizani's autobiograph

Holistic Human Resource Development: Balancing the Equation Through the Inclusion of Spiritual Quotient

This conceptual paper aims to shed light on the significance of human spiritual dimension in the process of human resource development (HRD). It suggests spiritual intelligence as the missing link in the process of human development that should be indentified and considered as an important factor for developed and morally qualified human resources. The conventional strategy of organizations in flourishing their employees is more on enhancement of individual’s knowledge, skills, abilities (Intelligence Quotient (IQ)) and emotions control (Emotional Quotient (EQ).However, despite this immense interest in human capital, organizations tend to fail to have holistic approach of human resource development which eventually affects their performance. Therefore, based on this, we conclude that the emerging notion of human spiritual quotient (SQ) and its multi-dimensions must be included in human resource development initiatives in order to have holistic mechanism

Assessment of management information system [MIS] of national program for family planning and primary health care [LHW Program]

This assessment by the Population Council is based on a random sample of 154 Lady Health Workers (LHWs) from three provinces of Pakistan. The aim is to strengthen the routine LHW-MIS (management information system) in the districts so that it can contribute to the improvement of the district health system by providing reliable evidence. Further, based on the findings of the current assessment, the districts managers/decisionmakers should be able to continuously improve the LHW-MIS through applying a problem-solving approach. The report details recommendations for program management, including: 1) providing all necessary MIS tools to each LHW; 2) providing basic equipment like weighing scales for babies, thermometers, etc. to each LHW; and 3) strong supervision to ensure that LHWs use all the MIS tools for a complete recording of all the events in their catchment areas

Spiritual quotient and ethical values towards organizational sustainability

During the last decade, many organizations were collapsed and had damage their organizational sustainability reason being severe ethical crisis. One of the main reasons affecting organizational sustainability is unethical behavior in the organization. Therefore, the question arises, how this grave issue of unethical behavior of employees can be solved? This paper seeks to assess if spiritual quotient (Here after SQ) is a solution to the unethical behavior of employees and how this SQ along with ethical values can contribute towards organizational sustainability. The paper concludes that SQ is the ultimate intelligence with which people address and solve the problems associated with meaning and value. It is the intelligence that has the force to help people use their actions and lives in a wider, richer and meaning-giving context. Moreover, promoting the ethical values, most of the organizations focus on ethics training programs aimed at increasing employee’s ethical behavior in organization. Thus, the paper finally suggests that employee unethical behavior in an organization can be solved through SQ and ethical values in organization